1,720,970 research outputs found
Was Tiepolo’s wife affected by Graves' disease?
No full textTiepolo (1696–1770) was an Italian Rococo painter and printmaker, and is now considered to be one of the most important members of the 18th-century Venetian school. The muse that lent her face to Cleopatra and inspired many Tiepolo’s works was his beloved wife, Maria Cecilia Guardi. Because of her appearance, we cannot rule out that she suffered from Graves' disease, an autoimmune condition that is characterized by goiter, exophthalmos and restlessness
Post-Covid-19 Airway Stenosis: Tracheal Resection-Anastomosis Using The Tritube® Ventilation
Full text link: We present a video of a tracheal resection and anastomosis performed on a patient affected by A-shaped tracheal stenosis. The condition was a consequence of a percutaneous tracheostomy following a Sars-Cov2 infection. Airways management during the surgery was obtained with the Tritube®, an innovative device with a very small lumen that combines stable lung parameters and good visualization of surgical field. Laryngoscope, 2023
Versatility and aesthetic performance of the submental flap for reconstruction of skin defects in head and neck
No full textThe submental flap (SMF) is a reliable option for head and neck reconstruction. It is a pedicle flap based on the submental artery and vein, divisions of the facial pedicle. The purpose of this Operative Technique is to describe the step-by-step setup of the submental flap for reconstruction of the preauricular region and to briefly examine its versatility and range of choices in skin and soft tissue defect reconstruction (see Supplemental video in the online version of the article). The harvesting of the SMF provides an aesthetically acceptable result for both the donor and reconstructed sites. The main advantages of the flap are its excellent color and texture match to the tissue in the cheek, and the possibility of restoring pilosity in male patients. In the opinion of the authors, the SMF is one of the best reconstructive alternatives for defects in the lower two-thirds of the face in elderly male patients
Hide and seek epistaxis after COVID-19 infection
No full textThis letter describes an anatomical variant of the descending palatine artery (DPA), which has never been described before and may mislead surgeons faced with the surgical hemostasis of an epistaxis
Expanded transcanal transpromontorial approach for vestibular schwannoma
No full textThe expanded transcanal transpromontorial approach (ExpTTA) is indicated for removal of Koos stage I and II Vestibular Schwannoma (VS). The ExpTTA is a combined endoscopic and microscopic technique allowing direct access to internal auditory canal (IAC) and cer- ebellopontine angle (CPA) without extended bone removal, as required by the traditional approaches
Modular anatomic approach to oral tongue carcinoma: functional outcomes and quality of life
No full textObjectives. The purpose of this study is to present the long-term functional swallowing outcomes of various surgical approaches to oral tongue/floor of mouth squamous cell carcinoma (OTFOMSCC) according to a modular and compartment-based concept previously described elsewhere. Methods. A retrospective study was conducted on patients undergoing surgery for OTFOMSCC from January 2017 to April 2023 in the Department of Otorhinolaryngology at the Hospital of Bolzano. Functional swallowing outcomes and quality of life (QoL) were assessed through the administration of a scale and questionnaires between 6 months and 1 year postoperatively or after the end of adjuvant therapy, stratifying the results according to the surgical technique used. Results. A total of 92 patients with OTFOMSCC were enrolled: 44 patients underwent transoral anatomically guided surgery (TAGS) for early-stage tumours, and 48 underwent major surgery for advanced stages. Among the latter 48 patients: 35 underwent compartment tongue surgery (CTS), 3 underwent extended glossectomies (EG) Type A, 6 underwent EG Type B, and 4 underwent EG Type C. After TAGS, all patients resumed oral feeding for all consistencies. In the CTS group, only one patient faced challenges with pure liquids, yet all achieved the target of consuming a semisolid and semiliquid diet. EG exhibited a noticeable decline in performance from Type A to total glossectomy (Type C). Conclusions. Following an anatomically-guided approach to the resection of OTFOMSCC allows the surgery to be modulated on the structures involved by the tumour, thus achieving optimal oncological results, while maintaining the possibility to predict functional outcomes and postoperative QoL
Unusual Presentation of Oropharyngeal B-Cell Lymphoma
No full textWe present the intriguing case of a 64-year-old woman in good health complaining of dysphonia and odynophagia for about 2 months. Flexible fiberoptic laryngoscopy revealed an excavated lesion on the right side of the base of the tongue, which was in communication with the laryngeal vestibule through the epiglottis. The patient underwent biopsy of the lesion by microlaryngoscopy under general anesthesia. Histological evaluation of the surgical specimen revealed a high-grade diffuse large B-cell lymphoma of non-germinal center type. Excavated lesion at the base of the tongue may be of various types, and it is important to consider rarer differential diagnoses, especially in patients with clinical histories not suggestive of squamous cell carcinomas or lesions of infectious origin. Non-Hodgkin's lymphomas arising from the base of the tongue are very rare. Moreover, this lesion is usually described in the literature as a swelling with an intact and smooth surface, totally different from that of our patient. The aim of this report is to examine clinically, endoscopically, and radiologically the main differential diagnoses of an excavated lesion of the base of the tongue, focusing on one of the rarest ones, large B-cell lymphoma of the oropharynx
Endoscopic treatment of paediatric subglottic stenosis and cyst (with video)
No full textObjective: The aim of this article is to describe step by step the endoscopic treatment of acquired subglottic stenosis (SGS) in an infant and to show the endoscopic results one month after surgery. Study design: Case presentation with instructional video. Setting: University Hospital of Verona, Italy. Methods: We present the case of a 6-month-old ex-26-week preterm female infant who required prolonged intubation in the neonatal period. She referred to our hospital for persistent inspiratory and expiratory stridor, and laboured breathing. The endoscopic dynamic examination of upper airway revealed the presence of type 3 laryngomalacia and subglottic stenosis grade III according to Myers-Cotton classification. An endoscopic balloon laryngoplasty was planned. Two laryngeal dilatations were performed. The endoscopic exploration after the first dilatation showed the presence of a subglottic cyst on the anterior surface of the subglottis. The treatment of subglottic cyst consisted of marsupialization of the cyst with cold microinstruments, and subsequent suction of its content. Results: An endoscopic check-up was carried out one month after surgery. The examination of the upper airway under spontaneous respiration didn't show significant subglottic stenosis. A very small subglottic cyst under the anterior commissure was observed. However, no more balloon dilatations or marsupialization of the cyst were performed in order to avoid the formation of synechiae. Conclusion: Treatment of SGS must be planned according to the extent of the stenosis and the history of the patient. Endoscopic procedures, such as balloon dilatation and cyst marsupialization, are best chosen for patients with isolated SGS without prior treatment failure
How I do it: Cochlear Osia 2 System surgery placement
Full text linkBACKGROUND: The Cochlear™ Osia(®) 2 System is an active transcutaneous bone-anchored hearing implant with a newly developed piezoelectric transducer that is fixed to a titanium implant (BI300). METHODS: It uses digital piezoelectric stimulation to bypass non-functional areas of the natural hearing system and send sound directly to the cochlea. This device is designed to meet the needs of patients with unilateral and bilateral conductive or mixed hearing loss and single-sided deafness. CONCLUSION: We show step by step how to place the new active transcutaneous bone conduction implant, Cochlear™ Osia(®) 2 System, which utilizes a piezoelectric actuator anchored to the mastoid bone through an osseointegrated screw
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